Doctor Name: | DR. NEAL R. MCMANN |
NPI Number: | 1518957455 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ED.D. |
License Number: | 2557 |
Business Practice Address: | 104 S Broad St Suite 5 Globe, AZ - 855012643 |
Business Phone Number: | 9284250366 |
Business Fax Number: | |
Mailing Address: | 1506 S Pheasant Ln, THATCHER |
State: | AZ |
Postal Code: | 855525376 |
Phone Number: | 9284287161 |
Fax Number: | 9284287161 |
NPI Enumeration Date: | 10/23/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP1600X |
License Number: | 2557 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | AZ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Pastoral |
Taxonomy Definition: |